Jose Roberto Mendoza, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME80536 Issued in FL

Practice address

2770 Capital Medical Blvd Ste 200
Tallahassee, FL 32308-8419

Phone

(850) 878-8235

Fax

(850) 671-2766

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jose.mendoza@hca5.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1851349518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 CAPITAL MEDICAL BLVD STE 200",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088419",
            "telephone_number": "850-878-8235",
            "fax_number": "850-671-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 CAPITAL MEDICAL BLVD STE 200",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088419",
            "telephone_number": "850-878-8235",
            "fax_number": "850-671-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "JOSE",
        "middle_name": "ROBERTO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME80536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261662900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JOSE.MENDOZA@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2770 Capital Medical Blvd Ste 200",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323088419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Beth Melvin
• Brian Mena Reyes, MD
• Menda Behavioral Health Services PC
• Aaron Mendelson
• Frank Mendicino, M.D.
• Katrina Mendoza, MS.ED, ATC/L
• Laura Vanesa Mendoza, RBT
• Justin Mensah-Mamfo
• Mercedez Kidz LLC
• Darbi Diana Merchant, B.S.

• Internal Medicine Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.